NEERU A JAYANTHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

NEERU

Middle

Last Name

JAYANTHI

Business Name

NEERU A JAYANTHI

Original Issue Date

02/19/2003

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017